Individual
MELISSA A MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2828 ONEIL LANE, EUREKA, CA 95503-4870
(707) 443-9385
(707) 443-0258
Mailing address
2828 ONEIL LANE, EUREKA, CA 95503-4870
(707) 443-9385
(707) 443-0258
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A8768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX87680
—
CA
01
—
0181400
DEPT OF LABOR & INDUSTRIE
WA
01
—
P00138437
RAILROAD MEDICARE
—
Enumeration date
05/02/2006
Last updated
11/08/2021
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